Henik R A
Department of Medical Sciences, University of Wisconsin-Madison, USA.
Vet Clin North Am Small Anim Pract. 1997 Nov;27(6):1355-72. doi: 10.1016/s0195-5616(97)50130-6.
The pathophysiology of hypertension in dogs and cats, the methods available to monitor blood pressure, and the signs and treatment of hypertension are reviewed. Clinical signs of hypertension are usually referable to target organ damage, most notably in ophthalmic, renal, and cardiovascular tissues, which have a rich arteriolar supply. Blood pressure should be measured in any animal with renal disease, hyperthyroidism, hyperadrenocorticism, retinal detachment or hemorrhage, hyphema, or echocardiographically determined cardiac hypertrophy. All cats with acquired cardiac murmur should also be evaluated for hypertension. Antihypertensive medication should be administered if the indirect blood pressure in cats is consistently over 170/100 mmHg, or if the indirect blood pressure in dogs is greater than 180/100 mmHg.
本文综述了犬猫高血压的病理生理学、可用的血压监测方法以及高血压的体征和治疗方法。高血压的临床体征通常与靶器官损伤有关，最显著的是在眼、肾和心血管组织中，这些组织有丰富的小动脉供应。对于任何患有肾病、甲状腺功能亢进、肾上腺皮质功能亢进、视网膜脱离或出血、前房积血或经超声心动图确定有心脏肥大的动物，都应测量血压。所有患有后天性心脏杂音的猫也应评估是否患有高血压。如果猫的间接血压持续超过170/100 mmHg，或者犬的间接血压大于180/100 mmHg，就应给予抗高血压药物治疗。
